• 제목/요약/키워드: Loss Experiences

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사례기반추론을 이용한 사무지식 추천시스템 (A Study on the Design of Case-based Reasoning Office Knowledge Recommender System for Office Professionals)

  • 김명옥;나정아
    • 지능정보연구
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    • 제17권3호
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    • pp.131-146
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    • 2011
  • 오늘의 글로벌 네트워크 비즈니스 환경에서 비서직 종사자들에게 신속 정확한 정보수집 능력과 올바른 판단력은 그 어느 때보다 필요한 역량으로 중시되고 있다. 비서직 업무 수행에 필요한 대부분의 지식은 체험지 혹은 경험지이기 때문에 비서가 주어진 문제를 해결하기 위해서 과거의 비슷한 사례를 참고하는 방법은 매우 타당한 것이며, 경험이나 선례를 적용함으로서 실패할 요인을 줄이고 문제 해결의 질을 높이는 동시에 시간을 단축시킬 수 있다. 본 연구에서는 비서 업무 수행 시 특정 문제 해결에 필요한 정보를 사례기반 추론에 근거하여 현재 문제와 가장 유사한 과거의 사례를 추천하는 시스템(COKRS : Case-based reasoning Office Knowledge Recommender System, 이하 COKRS)을 설계하고 프로토타입을 구축함을 목적으로 한다. 본 연구 결과인 COKRS는 비서직에서 뿐만 아니라 일반 사무영역에서의 지식관리 목적으로도 확대 이용 될 수 있을 것이다.

전을(錢乙)의 의학사상(醫學思想)에 관(關)한 연구(硏究) (A Study on Qian Yi(錢乙)'s Medical Though)

  • 오준환;김기욱;박현국
    • 한국의사학회지
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    • 제14권2호
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    • pp.109-152
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    • 2001
  • Throughout this paper, I adjusted the study of 'Qian Yi'(錢乙)'s Medical Thought, and the following is the summary. 1. 'Qian Yi' wrote 'Xiao Er Yao Zheng Zhi Jue'("小兒藥證直訣", edited by 誾季忠), and there were 'Shang Han Lun Zhi Wei'("傷寒論指微"), 'Ying Ru Lun', however those are loss of the record. 2. Qian Yi's 'Zhi Jue'("直訣") was influenced by 'Lu Xin Jing', yet if we compare the quality of 'Sheng Li, Byeng Li, Bang Jae'(生理, 病理, 方劑), 'Lu Xin Jing' cannot be the foundation of 'Zhi Jue'. He took over 'Nei Jing, Shang Han Lun, Jin Gui Yao Lue, Shen Long Ben Cao Jing, Tai Ping Sheng Hui Fang'("內經", "傷寒論", "金?要略", "神膿本草經", "太平聖惠方") and put them together to the direct clinical experiences of pediatrics. 3. There is no reference regarding the difficulties of pediatric diagnosis and diseases in 'Huang Di Nei Jing'("黃帝內經") Before 'Bei Song'(北宋), regardless of the lack of data related to pediatric diseases, 'Qian Yi' established the pediatric system in 'Xiao Er Yao Zheng Zhi Jue' for the first time. 4. In his diagnosis of the pediatric diseases, he 'Si Zhen He Can'(四診合參), also considered in the eye exam seriously. In addition, he closely combined 'Wu Zang Bian Zheng'(五臟辨證), and diagnosis the pediatric diseases. 5. 'Wu Zang Bian Zheng', what Qian established method was based on 'Zheng Ti Guan'(整體觀) in 'Huang Di Nei Jing'. It was based on clinical experiences and established the perspectives of 'Tian Ren Xiang Ying'(天人相應). First of all, he pinpointed 'Zhu Zheng'(主證) clearly. Secondly, he pinpointed the relationships to symptoms and then, he distinguished a generic character of 'Xu, Shi, Han, Re'(虛, 實, 寒, 熱). Finally, he made an induction from genealogical pediatric physiology. 6. 'Qian Yi' took a serious view of 'Ban Zhen'(斑疹), the inadequate field in those days. At that time, he criticized on the habituation of the misuse of medication. He treated separately which 'Ji Jing'(急驚) as 'Liang Xie'(凉瀉) and 'Man Jing'(慢驚) as 'Wen Bu'(溫補). He proposed 'Cong Gan Zhu Feng, Xin Zhu Jing'(從肝主風, 心主驚) theory and formulated 'Jing Feng'(驚風) theory as well. 7. As an opponent of a tendency to misusage of medicine, 'Qian Yi' made out a prescription with pliant medicine. He emphasized on the treatment to 'Gong Bu Shang Zheng, Bu Bu Zhi Xie, Xiao Bu Jian Shi'(攻不傷正, 補不滯邪, 消補兼施) because he had so lucid demonstration to 'Xu Shi Han Re'(虛實寒熱) of the five viscera in the field of 'Bang Yak'(方藥). 8. There were no pediatrics schools at that time, however, the pediatrics was being made up gradually by 'Jin Yuan Si Da Jia'(金元四大家) who was influenced by 'Qian Yi'. He raised an objection to medical treatment using pliant medicine. 'Qian Yi' applied 'Qu Xia'(驅下) treatment using 'Han Liang'(寒凉) medicine. 'Han Liang Pai'(寒凉派) is greatly influenced by Qian. 'Chen Wen Zhong'(陳文中) had a great impact on 'Han Liang Pai' who used a 'Zao Shu Wen Bu'(燥熟溫補) medicine for treatment. Since 'Song Jin'(宋金), he had a tremendous influence on pediatrics treating patients in both 'Han Wen'(寒溫) ways. 9. 'Qian Yi' had an influence on his medical thoughts on future generations, especially to 'Wan Quan'(萬全) of 'Ming Dai', 'Wu Tang'(吳塘) of 'Qing Dai'(淸代) and 'Yun Shu Jie'(?樹珏) of 'Min Guo'(民國). 'Wan Quan' is an advocate of 'You Yu, Bu Zu Zhi Shuo'(有餘, 不足之說)of 'Xiao Er Wu Zang'(小兒五臟) that he revealed Qian's 'Wu Zang Bian Zheng'(五臟辨證). 'Wu Tang' disclosed Qian's 'Xiao Er Ti Zhi Shuo'(小兒體質說) and 'Xiao Er Ke'(小兒科)'s 'Yong Yao Lun'(用藥論), therefore, he uncovered pediatric physiological characteristics through the advocate of Qian's 'Zang Fu Rou Ruo, Ji Gu Nen Qie, Yi Xu Yi Shi, Yi Han Yi Re' (臟腑柔弱, 肌骨嫩怯, 易虛易實, 易寒易熱). 'Yun Shu Jie' developed intrinsic relationships among time, symptom and 'Tian Ren Xiang Ying Guan'(天人相應觀), What 'Qian Yi' stated about them. And also, he developed Qian's 'Di Huang Wan'(地黃丸), 'Xie Qing Wan'(瀉靑丸), 'Yi Huang San'(益黃散) clinical usages as well. 10. Regarding Qian's 'Wu Zang Xu Shi'(五臟虛實), it has an influence on 'Zhang Yuan Su'(張元素)'s 'Zang Fu Bing Ji Bian Zheng'(臟腑病機辨證). 'Di Huang Wan', 'Xie Qing Wan', 'Xie Xin Tang'(瀉心湯), 'Yi Huang San', 'Xie Huang San'(瀉黃散) are the standard prescription of 'Wu Zang Bu Xie'(五臟補瀉). It is under the influence of Qian's treatment. Besides, 'Qian Yi' took a serious view of 'Xiao Er'(小兒)'s 'Pi Wei'(脾胃). 'Qian Yi' had an impact on 'Li Dong Yuan'(李東垣) one of the member of 'Bu Tu Pai'(補土派). 'Di Huang Wan', which placed great importance on 'Bu Yi Shen Yin'(補益腎陰), had a great impact on 'Da Bu Yin Wan'(大補陰丸) and 'Jin Yuan Si Da Jia' as well. 11. In a theory of Qian's 'Wu Zang Bian Zheng', though it had been stated clearly in 'Wu Zang Bian Zheng', but he neglected in 'Liu Fu Bian Zheng'(六腑辨證). In prescription field, The problem with the medicine is that it is either toxic or mineral, therefore, we are not able to use those medicine in a clinical testing at the present time.

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Appraisal of Breast Cancer Symptoms by Iranian Women: Entangled Cognitive, Emotional and Socio-Cultural Responses

  • Khakbazan, Zohreh;Roudsari, Robab Latifnejad;Taghipour, Ali;Mohammadi, Eesa;Pour, Ramesh Omrani
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권19호
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    • pp.8135-8142
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    • 2014
  • Background: Breast cancer is the most common cancer in Iranian women and usually features delayed presentation and late diagnosis. Interpretation of symptoms, as the most important step, has a significant impact on patient delay in seeking treatment. There is a dearth of studies on symptom appraisal and the process leading to seeking help in breast cancer patients. This study explored the perceptions and experiences of Iranian women with self-detected possible breast cancer symptoms. Materials and Methods: A qualitative method was conducted involving in-depth semi-structured interviews with 27 Iranian women with self-discovered breast cancer symptoms. Participants were purposefully selected from women who attended Cancer Institute of Tehran University of Medical Sciences during June 2012 to August 2013. The audiotaped interviews were transcribed and analyzed using conventional content analysis with MAXQDA soft ware version 10. The trustworthiness of the study was verified by prolonged engagement, member validation of codes, and thick description. Results: The main concepts emerging from data analysis were categorized in four categories: symptom recognition, labeling of symptoms, interactive understanding, and confronting the fear of cancer. Symptom recognition through breast self-examination, symptom monitoring and employing prior knowledge distinguished normal from abnormal symptoms and accompanied with perception of being at risk of breast cancer led to symptom labeling. Social interaction by selective disclosure and receiving reassurance from a consultant led to confirmation or redefinition of the situation. Perceived seriousness of the situation and social meanings of breast cancer as a stigmatized and incurable illness associated with loss of femininity were reasons for patient worries and fear. Conclusions: This study emphasized that entangled cognitive, emotional and socio-cultural responses affecting understanding of symptom seriousness require further investigation. It is suggested that programs aimed at shortening patient delay in breast cancer should be focused on improving women's knowledge and self-awareness of breast cancer, in addition to correcting their social beliefs.

HW-SW 통합 프레임워크를 활용한 제조공정 개선을 위한 실시간 모니터링 시스템과 데이터 분석검증 TA설계 (A Design for Realtime Monitoring System and Data Analysis Verification TA to Improve the Manufacturing Process Using HW-SW Integrated Framework)

  • 김재천;진선아;박영희;노성여;이현동
    • 정보처리학회논문지:소프트웨어 및 데이터공학
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    • 제4권9호
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    • pp.357-370
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    • 2015
  • 제조현장에서 발생하는 대량의 데이터는 제조공정의 개선 등을 위해서 매우 중요한 역할을 수행한다. 국내 제조업은 제조환경의 변화에 대응하기 위하여 다각적인 노력을 하고 있으나 구조적, 기술적 취약성으로 인해 많은 어려움을 겪고 있다. 코팅제는 도료의 일종으로 제품에 피막층을 형성하여 제품을 보호하고 다양한 특성을 부여하는 고분자 산업에서 활발하게 연구되는 분야 중의 하나이다. 코팅제는 다양한 산업 분야에서 중요성이 더욱 커지고 있으나 실제 제조업체에서는 여전히 작업자의 경험에 의존하여 배합공정을 수행하는 실정이다. 본 논문에서는 HW-SW 통합 프레임워크를 활용한 제조공정 개선을 위한 실시간 모니터링 시스템과 데이터 분석검증 TA설계를 제안한다. 제안된 프레임워크를 통한 분석 결과는 보다 정량적인 작업 기준 데이터를 확보하고 작업 현장에 제공함으로써 코팅제 배합 공정을 개선시킬 수 있다. 특히 정확한 배합 기준이 되는 표준 데이터의 부재로 인한 품질 저하와 원가 손실을 감소시키고, 배합 공정에서 발생한 오차 데이터에 대하여 R과 실험 계획법을 이용한 분석을 통하여 표준 보정 관계식을 도출함으로써 차후 발생 가능한 오차에 대한 대응 방안을 제시한다.

과학 영재들의 과제집착력 특성 탐색 (Exploring the Characteristics of Science Gifted Students' Task Commitment)

  • 장정은;정윤숙;최양희;김성원
    • 한국과학교육학회지
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    • 제33권1호
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    • pp.1-16
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    • 2013
  • 본 연구에서는 과학 영재들이 과제집착력을 보이며 활동한 경험을 분석하여 과제집착력을 나타내는 영재들의 특성을 알아보고자 하였다. 이를 위해 과학 영재들이 자기 소개서에 원인이나 원리를 깊이 있게 탐구했던 경험을 구체적으로 서술해보게 하였다. 학생들의 응답으로부터 과제집착력을 나타낸 것으로 보이는 특징만을 코드로 추출하고 분석하여 과제 집착력을 나타내는 과학 영재의 특성을 귀납적으로 탐색하였다. 결과적으로 영재들이 기술한 내용에서 반복적으로 나타나는 특징들을 바탕으로 자신감, 도전적 목표설정, 과제해결을 위한 도전적 접근, 통제감, 자의식 상실, 시간 개념의 변형, 고된 작업의 감수, 주도성, 계속성(끈기, 인내)의 9가지 특성들을 분류하였다. 영재교육 경력이 있는 3명의 전문가 합의 과정을 통해 9가지 특성을 다시 도전성, 몰입, 적극성의 세 가지 특성으로 범주화 시킬 수 있었다. 도전성, 몰입, 적극성의 세 가지 특성은 과제집착력의 정의를 잘 표현해주는 것으로 영재들의 과제집착력을 설명해줄 수 있다. 본 연구 결과로 얻어진 과제집착력을 나타내는 영재들의 특성을 기반으로 하여 학생들의 과제집착력 판별을 위한 준거 틀 및 도구 개발이 가능하다.

한국형 고속전철 차량소음 예측 및 부품 소음관리방안 (Noise Prediction of Korea High Speed Train (KHST) and Specification of Sub-components)

  • 정경렬;김경택;이병현
    • 한국소음진동공학회논문집
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    • 제12권10호
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    • pp.758-765
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    • 2002
  • KITECH and ODS performed a study of internal and external noise prediction of the Korean high speed prototype test train(HSR 350X). The object of this study was 3 kinds of cars, trailer car(TT2), motorized car(TMI ) and power car(TPI) and the predicted noise was for the two different driving speeds in free field and tunnel conditions. Data of carbody design and noise sources were delivered from manufactures. Some of noise sources which were not available in the project team, were chosen by experiences of ODS. Internal noise level of each car was predicted for two cases i.e, at 300 km/h and 350 km/h. In addition sound transmission path and dominant noise sources were also investigated for each section of the car, which is circular shell typed part of whole carbody. In case of TT2, the dominating sound transmission path is the (floor in terms of structure-borne noise and air-borne noise. The main noise sources are structure-borne noise from the yaw-damper and air-borne noise from the wheel/rail contact, whereas the dominating sound transmission path of TMI are floor and sidewall below the window in terms of structure-borne noise. The main noise sources of TMI are structure-borne noise from motor/gear unit and the yaw-damper in the free field, and air-borne noise from the wheel/rail contact and structure-borne noise from motor/gear unit in the tunnel. Through the external noise prediction for the KHST test train formation, the noise form the wheel/rail contact is estimated as one of the major sources. In addition, the noise specification of sub-component was proposed for managing each sub-surpplier to reach the KHST noise requirement. The specification provide the sound power of machinery part and transmission loss of component of carbody structure. The predicted noise level in each case exceeded the required limit. Through this study, the noise characteristics of the test train were investigated by simulation, and then the actual test will be performed in near future. Both measured and calculated data will be compared and further work for noise reduction will be continued.

수술 전 항암요법이 절제 불가능한 위암 환자의 수술에 미치는 영향 (The Impact of Preoperative Chemotherapy on the Surgical Management of Unresectable Gastric Cancer)

  • 윤삼열;김민규;오성태
    • Journal of Gastric Cancer
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    • 제9권4호
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    • pp.269-274
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    • 2009
  • 목적: 최근들어 근치적 절제가 어려운 위암을 대상으로 수술 전 항암요법(preoperative chemotherapy)이 병기를 낮추어 완전 절제율을 높일 수 있다는 연구가 보고되고 있으나, 항암요법이 수술에 미치는 영향에 대한 연구가 부족하여 본원의 경험을 조사하고자 하였다. 대상 및 방법: 2001년 12월부터 2009년 1월까지 동일한 항암요법을 시행 받은 후 위 절제술을 시행한 46명을 대상으로 수술 전 전신 상태, 수술 소견 및 수술 후 임상 경과등을 분석하였다. 결과: 항암요법은 평균 4.4회가 시행되었고, 각각 4명의 환자들에서 절대 호중구 수치(absolute neutrophil count)가 1,500(${\mu}/L$) 이하로 떨어지거나 10% 이상의 체중 감소를 보였다. 29명은 수술 중 종양과 주위 장기와의 유착 또는 단단하게 고정된 소견을 보였으며, 근치적 목적의 병할 절제를 시행한 13명의 환자 중 4명만이 병리학적으로 타 장기 침범이 관찰 되었다. 근치적 위 절제술은 41명, 수술 후 합병증은 10명에서 발생하였으며, 수술 후 60일 내 사망은 없었다. 결론: 항암요법이 수술 전 환자에 미치는 영향은 적을 것으로 생각되며, 타 장기 침범 소견으로 병합절제를 시행한 상당수에서 종양이 없었던 것은 일부 항암 효과가 작용한 것으로 생각한다. 더불어 항암 요법 자체가 수술 후 합병증 발생률을 높이는 것으로 생각되지 않는다.

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A Revisit to the Recent Human Error Events in Nuclear Power Plants Focused to the Organizational and Safety Culture

  • Lee, Yong-Hee
    • 대한인간공학회지
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    • 제32권1호
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    • pp.117-124
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    • 2013
  • Objective: This paper presents additional considerations related to organization and safety culture extracted from recent human error incidents in Korea, such as station blackout(i.e., SBO) in Kori#1. Background: Safety culture has been already highlighted as a major cause of human errors after 1986 Chernobyl accident. After Fukushima accident in Japan, the public acceptance for nuclear energy has taken its toll. Organizational characteristics and culture became elucidated as a major contributor again. Therefore many nuclear countries are re-evaluating their safety culture, and discussing any preparedness and its improvement. On top of that, there was an SBO in 2012 in the Kori#1. Korean public feels frustrated due to the similar human errors causing to a catastrophe like Fukushima accident. Method: This paper reassesses Japan's incidents, and revisits Korea's recent incidents. It focuses on the analysis of the hazards rather than the causes of human errors, the derivation of countermeasures, and their implementation. The preceding incidents and conclusions from Japanese experience are also re-analyzed. The Fukushima accident was an SBO due to the natural disaster such as earthquakes and a successive tsunami. Unlike the Fukushima accident, the Kori#1 incident itself was simple and restored without any loss and radioactive release. However, the fact that the incident was deliberately concealed led to massive distrust. Moreover, the continued violation of rules and organized concealment of the accident are serious signs of a new distorted type of human errors, blatantly revealing the cultural and fundamental weakness of the current organization. Result: We should learn from Japanese experiences who had taken pride in its safety technology and fairly high confidence in safety culture. Japan's first criticality accident in JCO facility splashed cold water on that confidence. It has turned out to be a typical case revealing the problems in the organization and safety culture. Since Japan has failed to gain lessons and countermeasure, the issue persists to the Fukushima incident. Conclusion: Safety culture is not a specific independent element, which makes it difficult to either evaluate it properly or establish countermeasures from the lessons. It may continue to expose similar human errors such as concealment of incident and manipulation of bad data. Application: Not only will this work establish the course of research for organization and safety culture, but this work will also contribute to the revitalization of Korea's nuclear industry from the disappointment after the export contract to UAE.

노인의 질병 관념에 관한 문화기술적 연구 (An Ethnography of the Concept of Illness by the Elderly)

  • 조명옥
    • 성인간호학회지
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    • 제12권4호
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    • pp.690-705
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    • 2000
  • This ethnography was based on Kleinman's explanatory model of a health care system. It is conducted to make thick discription of illness conception of the elderly in a sociocultural context. The basic assumptions were as follows. 1) A health care system is a cultural system, and as with any other cultural system, it is a system of symbolic meanings anchored in a particular arrangement of social institutions and patterns of interpersonal relationships; 2) In all societies health care activities are more or less interrelated. Therefore, they need to be in a holistic manner as socially organized responses to disease that constitute a special cultural system; health care system; 3) Health and illness experiences are the natural process of disease. Individuals who recognized a for state of health, their family, neighbors, and communities define the state, search for causes of the health problems, and response to it. According by, they proceed to search for healing stratagies. So, understanding of the illness experience is the starting point for health care. The study participants were 12 elders aged 60 or more. The fieldwork was conducted in an agricultural clan village of Namwon city. The data collection and analysis were cyclic, from descriptive observation, domain analysis, focused observation, taxanomic analysis, selected observation, componential analysis, and finally cultural themes were all analysed. Proxemic and text analysis techniques were used according to the characteristics of the data. The data of sociocultural context and descriptive data were collected from 1990 to 1992. Informations on illness concepts were collected during 1994 using focused observation. Data confirming and contrast observations were conducted from 1997 and 1999. Illness concepts of the elderly were taxonomized supernatural cause, non-supernatural cause, immediate cause, and ultimate cause. The supernatural ones were ancestors, god of home, god of village, and ghost such as 'sal(evil force of dead man)' and 'gagqui(ghost of begger)'. The non-supernatural ones were Ki, natural phenomenones, natural objects, foods, human and human behaviors. Immediate ones were insufficiency and overflows, discretion and consolidation, disorder and out of order, cloudness and contamination, and fluctuation and stagnation of supernatural cause and non-supernatural ones. Ultimate causes were intrusion and loss of supernatural and nonsupernatural ones. The cultural themes of illness concepts of the elderly are: 1) illness concepts are not based on causality principle, but on reciprocal principle; 2) illness concepts are affected by social level and charicteristics of the patients; 3) the causes of disease are recognized as imposed both positive and negative effects on health based on interpretation of the indiviuals; 4) illness concepts reflects on principles of everyday life of the society members such as hierachial structure and group cohesiveness; 5) illness concepts are ruled on principle of reciprocity and spread; 6) illness concepts are interrelated with physical environment of the participants. It can be concluded that the illness concepts of the elderly in a traditional clan village are a component of health care system as a cultural system based on these results. The these results can be a useful basis for gerontological nursing practice and education.

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이질적 무선망 사이의 수직적 핸드오프에서의 TCP 성능 분석 (TCP Performance Study in Vertical Handoff across Heterogeneous Wireless Networks)

  • 백상헌;최양희
    • 한국정보과학회논문지:정보통신
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    • 제32권1호
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    • pp.20-28
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    • 2005
  • TCP는 웹브라우징, 이메일, 파일 전송 등에서 사용되는 가장 중요한 인터넷 프로토콜 중의 하나이다. 하지만 TCP는 링크 에러율이 극히 적은 유선망에 적합하도록 설계되었기 때문에 무선망에 적용되었을 경우 성능 저하 현상을 가져오게 된다. 이러한 문제의 해결을 위해서 많은 연구가 진행되었다. 하지만 기존 연구의 경우 단일 링크 특성을 가지는 무선망(즉, 동질적 무선망)에서의 이동성만을 고려하여 TCP의 성능을 분석하였다. 하지만 차세대 무선/이동 통신망의 경우 여러 다양한 무선망이 혼합된 이질적 무선망이 될 것이다. 따라서 이러한 이질적 무선망에서의 TCP의 성능을 분석하는 것이 필요하다. 본 논문에서는 이러한 이질적 무선망에서의 단말기의 이동성에 따른 TCP 성능을 분석한다. 그 결과 기존의 연구 결과에서는 볼 수 없던 다른 형태의 TCP 성능 저하 현상을 경험할 수 있었는데 이는 이질적 무선망 사이의 수직적 핸드오프로 인한 패킷 손실과 링크 특성(대역폭과 링크 지연 시간)의 급격한 변화로 인해 TCP의 재전송 타이머 등이 새로운 링크 특성에 맞지 않게 설정되기 때문에 발생하는 것이다. 다양한 시뮬레이션 분석 결과 기존의 다양한 TCP 개선 기법으로는 이러한 문제를 완전히 해결할 수 없고 새로운 접근 기법이 필요하다는 것을 알 수 있었다.